| NPI | 1598272932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.1700829) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C1700829) |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2021-04-09 |